This is a my coaching program that is right for you if you’re ready to release excess weight, get your healthy back, end physical and emotional food cravings for good, and experience your body, your energy, and ultimately your life, soar in a more meaningful, rich, and full way.

I’d be honored to walk along with you on this journey.

Due to the intimate nature, personalization, and time commitment required, I only open my private coaching slots 2X a year, and only have the capacity to work with 8 clients at a time.

If you’re interested in working with me, first we need to get to know each other. I need to decipher if I can actually help you. And we both need to decide if working together is a good match.

I only offer this complimentary consultation and my private coaching services to those who I believe would be an excellent fit.

I’m excited for the possibility of being able to help you!

Name*

Email*

Phone*

Age*

Occupation*

Current Weight*

Years of Dieting*

Desired Weight*

Do you smoke ? Drink ? Use Drugs*

Think back as far as you can: when did your health or weight problems start?*

You value integrity, personal responsibility, and are a woman or man of your word who desires to gain control over your weight and health?*

Yes

No

Sometimes

Tell me a bit about your current relationship with food and your body.*

Are you struggling with any of the following? (Check all that apply)*

Emotional Eating

Over Eating

Stress Eating

Mindless Eating

Binge or compulsive Eating

Sugar or carb craving

Sugar addictions

Fatigue, low energy

Stress

Anxiety

Weight loss

Think about food all the time

Social eating

Eating in secret

Guilt or shame

Overcoming self sabotage

Poor body image

Don’t like your body

How long have you been struggling with these current issues?*

What kind of relationship would you like to have with food and your body? If you have a specific size or weight you’d like to be, please include that here too.*

On a daily basis, what would you say is your biggest challenges are with food and your body?*

What else have you tried to do to lose weight or to end the above struggles?*

How has your current situation impacted the other areas of your life, such as Work, Finances, Relationships, Social Life?*

What are your goals? (check all that apply)*

Losing weight

Increasing energy/decreasing fatigue

Ending my cravings

Feeling at peace with food

Feeling at peace with my body

Better sleep

I’d like to trust myself around food

Any other goals you might have that I should know about?*

I know you’re busy, so what would you like to get out of our time together?*

Are achieving these goals one of the top 3 priorities in your life right now?*

Yes

No

If Yes, why? And if No, why not?*

On a scale of 1-10, how committed are you in getting the results you want?*

What do you think would help you the most to achieve these results? (check all that apply)*

Learning what to eat

Learning how much to eat

Learning healthy foods that I love

Learning how to deal with stress

Learning how to end self-sabotage

Mindful eating skills

Having guidance, support and accountability

Having solutions that are customized for me

Taking care of myself while still having a social life

How to integrate healthy foods into my day to day life, cooking + short cuts